| Dr William Micka, MD | |
|
1001 E Primrose St, Springfield, MO 65807-5155 | |
| (417) 875-3000 | |
| (417) 875-3383 |
| Full Name | Dr William Micka |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 22 Years |
| Location | 1001 E Primrose St, Springfield, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376689729 | NPI | - | NPPES |
| 148380008 | Other | MO | MISSOURI MEDICARE |
| 206426207 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2006006314 (Missouri) | Secondary |
| 207K00000X | Allergy & Immunology | 2006006314 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Medical Centers | Springfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lester E Cox Medical Centers | 8628092897 | 242 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760405864 PECOS PAC ID: 8628092897 Enrollment ID: O20060116000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Micka, MD 1001 E Primrose St, Springfield, MO 65807-5155 Ph: (417) 875-3000 | Dr William Micka, MD 1001 E Primrose St, Springfield, MO 65807-5155 Ph: (417) 875-3000 |
Minh-thu Ngoc Le, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3383 | |
Dr. Lirio Maxino Reyes, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1358 E Kingsley St, Suite B, Springfield, MO 65804 Phone: 417-883-2311 Fax: 417-883-2932 | |
Dr. Gregory K. Lux, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-885-0823 Fax: 417-890-4178 |